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General NPI Number Information
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NPI Number | 1497991384
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Entity Type | Individual
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Provider Name | SYLVIA RODRIGUEZ ASST SLP
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Gender | Female
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 205 W EDINBURG AVE
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City | ELSA
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State | TX
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Zip | 78543-1769
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Country | US
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Telephone | 956-262-1037
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Fax | 956-262-7756
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Provider Business Mailing Address
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Address Line | 3309 WATER OAK DR
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City | EDINBURG
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State | TX
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Zip | 78542-3770
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Country | US
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Telephone | 956-455-6810
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Fax | 956-262-7756
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 34195
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License Number State |
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